Foot Care Steps in a New Direction
“Foot Care Steps in a New Direction” is a monograph directed to medical professionals and other specialists interested in lower limb biomechanics. Many concepts are included that may be unfamiliar to the reader within the context presented.
Due to the complexity of the biomechanical function described in each chapter and to the linear structure of the overall content, it is recommended that the reader progress through the chapters in numerical order.ContentsIntroduction
2.0 Foot Function Norms
3.0 Lower Limb - Structural Mechanics
3.1 Theoretical Ideal Structural Physics Model of the Foot
3.2 The Foot - Muscle Function and Ideal Mechanical Physics During the Gait Cycle
3.2.2 Ideal Muscle Mechanics
3.2.3 Neurologic Mechanisms (Somatosensory Feedback)
3.2.4 Schematic Model of Ideal Foot Function in Gait
3.2.5 Ideal Gait Mechanics4.0 Footwear’s Relationship to Lower Limb Biomechanics and Resulting
4.1 Lack of Proprioceptive Sensory Feedback
4.2 Restrictions in Structural Alignment
4.2.1 Unhealthy Bone Remodeling
4.2.2 Unhealthy Musculoskeletal Mechanics
4.3 Increased Lever Arm Mechanics (Heel Height and Width) 5.0 Conventional Treatments for Foot-Related Pathologies
5.2 Support (bracing)
5.2.2 Taping and Ankle Braces
5.3 Exercise6.0 Foot Care Steps in a New Direction
6.1 Barefoot Science TM
6.1.1 Foot Srengthening SystemTM
220.127.116.11 The Mechanical Physics
18.104.22.168.1 Changes in Foot Length
22.214.171.124.2 Changes in Plantar Surface Area Due to Proprioceptive Response
126.96.36.199.3 Motion Capture Gait Analysis
188.8.131.52.3.1 Study One
184.108.40.206.3.2 Study Two
220.127.116.11.4 Structural Relationship Between Arch Length and Height
18.104.22.168.5 The Foot Strengthening System’s Effect on Foot and Back Pain
22.214.171.124 Clinical Observations
126.96.36.199 Supplementary Treatments
188.8.131.52 Diagnostic, Rehabilitative, and Preventative Use
184.108.40.206 Performance Enhancement
220.127.116.11 Proper Usage
18.104.22.168 Choosing the Correct Version
22.214.171.124 Insert (Stimulus) Progression
126.96.36.199 Insert (Stimulus) and Footwear Type
188.8.131.52 Insert (Stimulus) and Activity Levels
184.108.40.206 The Foot Strengthening System and Safety
6.1.2 Barefoot Science Appropriate Footwear for Healthy Feet7.0 References
IntroductionPDF, 3.83 mb, 87 pages
Barefoot Science Inc. was incorporated in 1997 to market foot care technologies developed after over fourteen years of research on foot function and related pathologies. Our research has focused on four key areas:
• review of relevant studies (global and multi-disciplinary in scope),
• analysis of current philosophies and treatment methods,
• the development of a more accurate method of measuring the three-dimensional musculoskeletal dynamics of the foot structure during full weight bearing, in both static and dynamic environments, and
• the effects of various environmental influences on foot function (i.e., shod and barefoot).
Our findings in these key areas contradicted many of the currently accepted theories of foot function and relevant treatment methods.
Specifically, there is sufficient scientific evidence to prove that, aside from trauma, footwear is the leading cause of the vast majority of foot-related pathologies, and that the majority of these pathologies can be both prevented and effectively treated.
The majority of foot care professionals and footwear companies promote technologies that support and cushion the foot as a means to address most foot-related pathologies and discomfort. These treatment methodologies are based on theories incorporating foot function NORMS that have not changed in over 100 years and are supported by published articles that, for the most part, simply rehash these dated hypotheses. One study, cited in the Journal of the American Podiatric Medical Association, examined the reliability of information found in articles in podiatric medical journals.The study determined that only1% of the 322 articles reviewed displayed consistent, reputable, and scientific evidence-based information. The authors concluded that the majority of these published articles focused on generating, rather than testing hypotheses. 
The majority of existing research is more aptly viewed as a circumvolution of thought, composed of the repetition and validation of each previous body of research (hypotheses). It is disturbing that the protocols and hypotheses were never tested for their validity, reliability, or applicability, yet these hypotheses are commonly stated as fact and have led to a plethora of myths surrounding foot function and health.
In order to advance more applicable and quantifiable science, Barefoot Science, in consultation with a growing number of medical professionals, has developed and continues to develop new hypotheses, state-of-the-art assessment protocols, and educational tools that clearly illustrate:
• ideal gait biomechanics,
• the biomechanical causes of most foot-related pathologies, and
• the pros, cons, and effectiveness of various treatment methods.
The combining of existing research in the fields of foot function, mechanical physics, bone remodeling physics, neurology, and rehabilitative medicine has led to new hypotheses on ideal foot function. These concepts have been applied to the design of a dynamic device - rather than a static orthotic - that would promote optimal structural integrity of the foot through all ranges of three-dimensional movement. The testing of these new hypotheses and this dynamic device has lead to the creation of the “Barefoot Science Arch Activation Foot Strengthening SystemTM ”– a technology that represents a significant advancement in foot care management and treatment.
Based on the principles of rehabilitative medicine, the Arch Activation Foot Strengthening SystemTM stimulates and retrains the appropriate muscle-firing sequences necessary to dynamically stabilize the foot’s arch system as it responds to a multitude of three-dimensional movements. This provides both preventative and rehabilitative benefits.This safe, cost effective, and easy-to-use technology has been tested in numerous clinical, medical, and retail settings with over 90% effectiveness. The technology is used internationally by world class and professional athletes for its rehabilitative and injury prevention benefits, as well as for performance enhancement.
New technologies that introduce innovative concepts and methodologies invariably must address concerns raised about the validity of their claims. We believe that the existing research and the development of new protocols scientifically and quantifiably validates a revolutionary “new science” (re: foot function).
The following monograph is an update and expansion of our 2001 publication and it presents a more comprehensive overview of our research findings with relevant supporting science that clearly advances theories on foot function and dysfunction, resulting pathologies, and appropriate treatment options. We are confident that you will join the increasing number of medical professionals that recognize the value of the science and technology presented, and we welcome you to contribute to the ongoing exploration and validation of the concepts contained herein.
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